Individual
KJERSTENA ELIZABETH YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
215 FRONT STREET, WRANGELL, AK 99929
(907) 874-3731
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(253) 208-9452
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2116
AK
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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